MEDICARE: CITY OF WINTER SPRINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	002491	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093788358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WINTER SPRINGS

Provider Business Mailing Address
First Line	:	102 N MOSS RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-2506
Country	:	US
Telephone Number	:	407-327-2332
Fax Number	:	407-327-4750

Provider Business Practice Location Address
First Line	:	102 N MOSS RD
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-2506
Country	:	US
Telephone Number	:	407-327-2332
Fax Number	:	407-327-4750

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	MR. DAVID O'BRIEN
Credential	:
Telephone Number	:	407-327-2332

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/07/2008

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Directions to “CITY OF WINTER SPRINGS ” Practice Location

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